Healthcare Provider Details

I. General information

NPI: 1063755650
Provider Name (Legal Business Name): SAINT PAUL HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2013
Last Update Date: 04/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1667 SAINT PAUL ST
DENVER CO
80206-1614
US

IV. Provider business mailing address

9990 W 51ST PL APT B301
ARVADA CO
80002-4152
US

V. Phone/Fax

Practice location:
  • Phone: 303-399-2040
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number0011772
License Number StateCO

VIII. Authorized Official

Name: ALLISON MARSHALL
Title or Position: PHYSICAL THERAPIST
Credential:
Phone: 970-227-8535